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[Peripheral artery disease with diabetes mellitus]
Volker H Schmitt1, Karsten Keller2, Christine Espinola-Klein1
1Zentrum für Kardiologie, Kardiologie III - Angiologie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz.
Peripheral artery disease (PAD) and diabetes mellitus significantly increase risks for patients. Early detection and optimal management of both conditions are crucial for reducing severe outcomes like amputation and mortality.
Area of Science:
- Vascular Medicine
- Endocrinology
- Public Health
Context:
- Peripheral artery disease (PAD) and diabetes mellitus (DM) are prevalent conditions.
- Patients with both PAD and DM face elevated risks of morbidity, amputation, and mortality.
- Despite healthcare efforts, DM remains a significant risk factor in PAD patients.
Purpose:
- To highlight the increased vulnerability of patients with PAD and DM.
- To emphasize the need for improved awareness and optimal therapy for PAD, irrespective of diabetes status.
- To underscore the importance of early detection and management for reducing adverse outcomes.
Summary:
- Patients with PAD and DM exhibit higher risks for severe complications compared to those with PAD alone.
- Awareness of PAD and adherence to optimal treatment remain suboptimal, even in diabetic individuals.
- Limited consultation with vascular specialists is observed in PAD patients, indicating a gap in care.
Impact:
- Emphasizes the critical role of prevention, early detection, and optimal therapy in managing PAD and DM.
- Highlights the need for enhanced healthcare strategies to mitigate morbidity and mortality in this vulnerable population.
- Underscores the importance of integrated care for patients with comorbid PAD and diabetes mellitus.
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